Organization Active NPI

FCBC Community Development Corporation

  • Community/Behavioral Health Agency
  • Inglewood, CA
National Provider Identifier
1730454901
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FCBC COMMUNITY DEVELOPMENT CORPORATION
Practice address
333 W Florence Ave
Inglewood, CA 90301-1103
Phone
(310) 330-8000
Fax
(310) 419-0041
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Little, JD
Title
Coo
Phone
(310) 330-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

333 W Florence Ave
Inglewood, CA 90301-1103

Mailing address

333 W Florence Ave
Inglewood, CA 90301-1103
Phone (310) 330-8000

National Provider Directory

National Provider Directory

Locations

333 W Florence Ave
Inglewood, CA 90301
Phone (310) 330-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1730454901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W FLORENCE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011103",
            "telephone_number": "310-330-8000",
            "fax_number": "310-419-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W FLORENCE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011103",
            "telephone_number": "310-330-8000",
            "fax_number": "310-419-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCBC COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-330-8000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.